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Federal Employees Health Benefits Program 2004 Premiums   
  FEHB Home  |    Non-Postal Premiums
You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Non-postal > Michigan

2004 FEHB Non-Postal Premium Rates for Michigan


HMO Plans 2003 Total Biweekly Premium 2004 Biweekly premium rates 2003 Total Monthly Premium 2004 Monthly premium rates
Plan - Option - Enrollment Code Total Premium Gov't Pays Empl. Pays Change in employee payment Total Premium Gov't Pays Empl. Pays Change in employee payment
Bluecare Network of MI
High Self K51 132.31 158.49 118.87 39.62 6.54 286.67 343.40 257.55 85.85 14.18
High Family K52 369.83 443.59 277.09 166.50 46.29 801.30 961.11 600.36 360.75 100.29
Bluecare Network of MI
High Self KF1 174.35 199.32 121.40 77.92 12.87 377.76 431.86 263.03 168.83 27.89
High Family KF2 480.01 557.72 277.09 280.63 50.24 1040.02 1208.39 600.36 608.03 108.85
Bluecare Network of MI
High Self KN1 141.49 168.51 121.40 47.11 11.74 306.56 365.11 263.03 102.08 25.44
High Family KN2 395.47 471.09 277.09 194.00 48.15 856.85 1020.70 600.36 420.34 104.33
Bluecare Network of MI
High Self KR1 146.01 192.86 121.40 71.46 34.75 316.36 417.86 263.03 154.83 75.29
High Family KR2 421.72 557.12 277.09 280.03 107.93 913.73 1207.09 600.36 606.73 233.84
Bluecare Network of MI
High Self LN1 177.69 209.53 121.40 88.13 19.74 385.00 453.98 263.03 190.95 42.77
High Family LN2 427.86 504.56 277.09 227.47 49.23 927.03 1093.21 600.36 492.85 106.66
Bluecare Network of MI
High Self LX1 102.68 119.55 89.66 29.89 4.22 222.47 259.03 194.27 64.76 9.14
High Family LX2 307.06 357.60 268.20 89.40 12.64 665.30 774.80 581.10 193.70 27.38
Grand Valley Health Plan
High Self RL1 134.62 149.80 112.35 37.45 3.80 291.68 324.57 243.43 81.14 8.22
High Family RL2 377.98 420.54 277.09 143.45 15.09 818.96 911.17 600.36 310.81 32.69
Health Alliance Plan
High Self 521 123.51 134.48 100.86 33.62 2.74 267.61 291.37 218.53 72.84 5.94
High Family 522 327.25 356.34 267.26 89.08 7.27 709.04 772.07 579.05 193.02 15.76
HealthPlus MI
High Self X51 150.07 176.89 121.40 55.49 14.72 325.15 383.26 263.03 120.23 31.90
High Family X52 367.91 403.96 277.09 126.87 8.58 797.14 875.25 600.36 274.89 18.59
M-Care
High Self EG1 119.16 126.66 95.00 31.66 1.87 258.18 274.43 205.82 68.61 4.07
High Family EG2 315.79 335.61 251.71 83.90 4.95 684.21 727.16 545.37 181.79 10.74
OmniCare
High Self KA1 120.15 126.53 94.90 31.63 1.59 260.33 274.15 205.61 68.54 3.46
High Family KA2 295.57 311.26 233.45 77.81 3.92 640.40 674.40 505.80 168.60 8.50
Total Health Care
High Self N21 118.50 115.69 86.77 28.92 -0.70 256.75 250.66 188.00 62.66 -1.53
High Family N22 301.40 284.21 213.16 71.05 -4.30 653.03 615.79 461.84 153.95 -9.31
 
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Page created 09/10/2003